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UNDERGROUN[SK PROGRAM OFFICIAL INSPEqAN REPORT <br /> JOAOUIN HEA1601 E. QLNTH DISTRICT <br /> STOCKTON, CA 95205 COUNTY # 3 <br /> COUNTY NAME PHONE NO. 468-3423 <br /> \� 6 S� •7 INSPECTION DATE: _ µ <br /> SITE NAME: / <br /> SITE ADDRESS: 2L{O�/ f� �f}77rvfS I �nsS CITY/STATE/ZIP ?s37y <br /> 3 TANK TANK TANK <br /> CHANGES SITE/OWNER/PERMIT? YES NO TANK COMPUTES COMPUTER COMPUTER <br /> k <br /> FORM A AND/OR B SUBMITTED? NUMBE COMPUTE O(r1* NUMBER3000 UMBER NUMBER <br /> TYPE ,F INS ECIION� SITE COMPUTER# PER #u�LGADpP PER # ()i eSe.J PER# PER# <br /> KQ(��(he . oc. rl O7 EXP DATE EXP DATE EXP DATE EXP.DATE <br /> TANK CONTENTS <br /> OPERATIONAL TANK MAJOR MINOR <br /> PERMIT TO OPERATE 1 2 - ------, -- <br /> 1 CHANGE IN CONDITIONS TO OPERATE 3 4 - - -- <br /> 11 APPROVED CONSTRUCTION 5 6 - -- <br /> WRITTEN MONITORING PROCEDURES 7 8 - <br /> APPROVED MONITORING SYSTEM 9 10 <br /> MONITORING SYSTEM 11 12 -- <br /> APPROVED MONITOR FREQUENCY 13 14 -- --- -"- ---� - - <br /> MONITORING RECORDS MAINTAINED 15 16 -- -- --- -- <br /> ACCESS CASING SECURED 17 18 __ -- -- <br /> PIPING 19 20 <br /> INVENTORY RECONCILIATION 21 22 <br /> TANK GAUGING 23 24 ---26 -- <br /> APPROVED RESPONSE PLAN 25 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 -- <br /> SAMPLING <br /> APPROVED TANK REPAIRS 31 32 -- ----" <br /> UNAUTHORIZED RELEASES REPORTED 33 34 ---" <br /> SAFETY HAZARD 35 36 <br /> CONDITIONS ABATED 37 <br /> TEMPORARY TANK CLOSURE -------- <br /> REMOVAL OF RESIDUAL 38 39 <br /> FLAMMABLE VAPORS REMOVED 40 -- <br /> ACCESS LOCATIONS SEALED 41 42 --- <br /> POWER DISCONNECTED 43 --- <br /> OWNER/OPERATOR MONITORING 44 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 --. -- — -- - - <br /> PIPING 48 49 __.__...- ._..-..- <br /> FLAMMABLE VAPORS REMOVED 50 ---------- <br /> UNAUTHORIZED RELEASE 51 52 -- --- - <br /> SAMPLING 53 54 <br /> --- - --- <br /> IMPROPER ABANDONMENT 55 56 <br /> THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST 9E CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE) FOLLOWS: • ~ L�N <br /> 58 59 <br /> NIAJOR 57 MINOR NO <br /> VIOL Li VIOL. ❑ VIOL <br /> OFFICE: INSP: RE_CFIVED BY: <br /> � <br /> I <br /> TITLE: R <br /> S PHONE: RECK: • <br /> siae O� <br /> HUT-3 ORIGINAL <br />